DUSTIN DORSEY

LAFAYETTE, LA
NPI1659767713
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251T00000X PACE Provider Organization
(Licence: LA  47-1407033)
Enumeration Date2015-04-15
Last Update Date2015-04-15
Business Address
-- DUSTIN DORSEY
203 HALLMARK AVE
LAFAYETTE, LA 70508-7766
Phone number: 337-356-8050
Mailing Address
-- DUSTIN DORSEY
203 HALLMARK AVE
LAFAYETTE, LA 70508-7766
Phone number: 337-356-8050
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